Microwave thermometry for microwave ablation systems

ABSTRACT

A microwave ablation system incorporates a microwave thermometer that couples to a microwave transmission network connecting a microwave generator to a microwave applicator to measure noise temperature. The noise temperature is processed to separate out components the noise temperature including the noise temperature of the tissue being treated and the noise temperature of the microwave transmission network. The noise temperature may be measured by a radiometer while the microwave generator is generating the microwave signal or during a period when the microwave signal is turned off. The microwave ablation system may be configured as a modular system having one or more thermometry network modules that are connectable between a microwave applicator and a microwave generator. Alternatively, the modular system includes a microwave generator, a microwave applicator, and a microwave cable that incorporate a microwave thermometry network module.

CROSS-REFERENCE TO RELATED APPLICATIONS

This application claims the benefit of, and priority to, U.S.Provisional Patent Application No. 61/663,099 filed on Jun. 22, 2012,U.S. Provisional Patent Application No. 61/809,634 filed on Apr. 8,2013, and U.S. Provisional Patent Application No. 61/837,633 filed onJun. 20, 2013, the entire contents of each of which are incorporated byreference herein for all purposes.

BACKGROUND

1. Technical Field

The present disclosure relates to microwave thermometry in microwaveablation systems.

2. Discussion of Related Art

Electromagnetic radiation can be used to heat and destroy tumor cells.Treatment may involve inserting ablation probes into tissues wherecancerous tumors have been identified. Once the ablation probes areproperly positioned, the ablation probes emit electromagnetic radiationinto tissue surrounding the ablation probes.

In the treatment of diseases such as cancer, certain types of tumorcells have been found to denature at elevated temperatures that areslightly lower than temperatures normally injurious to healthy cells.Known treatment methods, such as hyperthermia therapy, heat diseasedcells to temperatures above 41° C. while maintaining adjacent healthycells below the temperature at which irreversible cell destructionoccurs. These methods involve applying electromagnetic radiation to heator ablate tissue.

Electrosurgical devices utilizing electromagnetic radiation have beendeveloped for a variety of uses and applications. Typically, apparatusfor use in ablation procedures include a power generation source, e.g.,a microwave or radio frequency (RF) electrosurgical generator thatfunctions as an energy source and a surgical instrument (e.g., microwaveablation probe having an antenna assembly) for directing energy to thetarget tissue. The generator and surgical instrument are typicallyoperatively coupled by a cable assembly having a plurality of conductorsfor transmitting energy from the generator to the instrument, and forcommunicating control, feedback and identification signals between theinstrument and the generator.

There are several types of microwave probes in use, e.g., monopole,dipole, and helical, which may be used in tissue ablation applications.In monopole and dipole antenna assemblies, microwave energy generallyradiates perpendicularly away from the axis of the conductor. Monopoleantenna assemblies typically include a single, elongated conductor. Atypical dipole antenna assembly includes two elongated conductors thatare linearly-aligned and positioned end-to-end relative to one anotherwith an electrical insulator placed therebetween. Helical antennaassemblies include helically-shaped conductor configurations of variousdimensions, e.g., diameter and length. The main modes of operation of ahelical antenna assembly are normal mode (broadside), in which the fieldradiated by the helix is maximum in a perpendicular plane to the helixaxis, and axial mode (end fire), in which maximum radiation is along thehelix axis.

The particular type of tissue ablation procedure may dictate aparticular ablation volume in order to achieve a desired surgicaloutcome. Ablation volume is correlated with antenna design, antennaperformance, antenna impedance, ablation time and wattage, and tissuecharacteristics, e.g., tissue impedance.

Because of the small temperature difference between the temperaturerequired for denaturing malignant cells and the temperature normallyinjurious to healthy cells, precise temperature measurements are neededto lead to more predictable temperature distribution to eradicate thetumor cells while minimizing the damage to healthy tissue surroundingthe tissue to which microwave energy is being applied. Implantablethermoprobes, such as thermocouples or optical fibers, are typicallyused to measure tissue temperature. These measurements, however, arelimited to a small volume of tissue surrounding the measuring point ofthe thermoprobes.

SUMMARY

In one aspect, the present disclosure features a microwave ablationsystem including a microwave applicator, a microwave generator coupledto the microwave applicator, a thermometry circuit coupled between themicrowave generator and the microwave applicator, and a controllercoupled to the thermometry circuit. The microwave applicator includes anantenna that delivers microwave energy to ablate tissue and themicrowave generator generates a microwave signal and transmits themicrowave signal to the antenna via a transmission network. Thethermometry circuit includes a radiometer that measures a noisetemperature signal and a coupling network, which is coupled to thetransmission network, that provides a noise temperature signalpropagating in the transmission network to the radiometer. Thecontroller calculates a temperature value based on the noise temperaturesignal.

The transmission network may include a microwave cable connected betweenthe microwave applicator and the microwave generator and the thermometrycircuit may be integrated into the microwave applicator, the microwavegenerator, or the microwave cable.

The thermometry circuit may include a first filter that isolates thenoise temperature signal from the microwave signal generated by themicrowave generator. The thermometry circuit may include a second filterthat filters the output from the first filter to obtain a noisetemperature signal from the tissue and a noise temperature signal from acomponent of the microwave ablation system. The component of themicrowave ablation system may be a microwave cable connected between themicrowave applicator and the microwave generator.

The coupling network may couple a portion of the signals propagatingthrough the transmission network to the radiometer. The coupling networkmay be a directional coaxial coupler. The coupling network mayalternatively be a switch that switches from a connection between theantenna and the microwave generator to a connection between the antennaand the radiometer. In yet another alternative, the coupling network maybe a T-network having a first band pass filter for passing the noisetemperature signal to the radiometer and a second band pass filter forpassing the microwave signal to the antenna.

The radiometer may include a low-noise amplifier that amplifies thetemperature noise signal, a detector coupled to the output of theintermediate frequency amplifier to detect the noise temperature signal,and an integrator coupled to the output of the detector. The radiometermay also include a local oscillator, a mixer coupled to the output ofthe low-noise amplifier and the output of the local oscillator to mixthe amplified noise temperature signal with the output from the localoscillator, an intermediate frequency band pass filter coupled to theoutput of the mixer and having a predetermined bandwidth, and anintermediate frequency amplifier coupled to the output of theintermediate frequency band pass filter. Alternatively, the radiometermay also include a resistive load maintained at a constant temperatureand a switch coupled to the input of the low-noise amplifier to switchthe input to the low-noise amplifier between the antenna and theresistive load. The resistive load may be a thermocouple disposed inthermal communication with the transmission network. The integrator mayintegrate over a long period from 10 ms to 10 seconds and thepredetermined bandwidth may be within ±35 MHz.

The controller of the microwave ablation system may calibrate theradiometer to the temperature of a body whose tissue is being treated bythe microwave applicator. The controller may also control the microwavegenerator based on the temperature value.

In another aspect, the present disclosure features a microwave ablationdevice including an antenna that delivers microwave energy to ablatetissue and a handle assembly attached to the antenna. The handleassembly includes a thermometry circuit coupled to the antenna via atransmission network. The thermometry circuit includes a radiometer thatmeasures a noise temperature signal, a coupling network coupled to thetransmission network to provide a noise temperature signal propagatingin the transmission network to the radiometer, and a controller, whichis coupled to the thermometry circuit, that calculates a temperaturevalue based on the noise temperature signal.

The thermometry circuit may include a first filter that isolates thenoise temperature signal from a microwave signal propagating in thetransmission network. The thermometry circuit may also include a secondfilter that filters the output from the first filter to obtain a noisetemperature signal of the tissue and a noise temperature signal of thetransmission network.

BRIEF DESCRIPTION OF THE DRAWINGS

Objects and features of the presently disclosed energy-delivery deviceswith a fluid-cooled probe assembly and systems including the same willbecome apparent to those of ordinary skill in the art when descriptionsof various embodiments thereof are read with reference to theaccompanying drawings, of which:

FIG. 1 is a block diagram of a microwave ablation system in accordancewith embodiments of the present disclosure;

FIG. 2 is a block diagram of a microwave generator and a microwaveapplicator that incorporates the radiometer of the microwave ablationsystem of FIG. 1 in accordance with an embodiment of the presentdisclosure;

FIGS. 3A-3C are block diagrams showing embodiments of the couplingcircuit of FIGS. 1 and 2;

FIG. 4A is a circuit block diagram of the radiometer of FIGS. 1 and 2 inaccordance with an embodiment of the present disclosure;

FIG. 4B is a circuit block diagram of the radiometer of FIGS. 1 and 2 inaccordance with another embodiment of the present disclosure;

FIG. 5 is a block diagram of a microwave thermometry network used in themicrowave ablation system of FIG. 1;

FIG. 6 is a block diagram of a radiometer module according to a splitconfiguration of the microwave thermometry network of FIG. 5 inaccordance with an embodiment of the present disclosure;

FIG. 7 is a block diagram of a radiometer controller module according tothe split configuration of the microwave thermometry network of FIG. 5in accordance with an embodiment of the present disclosure;

FIG. 8 is a block diagram of a microwave applicator of the microwaveablation system of FIG. 1 in accordance with an embodiment of thepresent disclosure;

FIG. 9 is a block diagram of a cable module of the microwave ablationsystem of FIG. 1 in accordance with an embodiment of the presentdisclosure;

FIG. 10 is a block diagram of a microwave generator of the microwaveablation system of FIG. 1 in accordance with an embodiment of thepresent disclosure;

FIGS. 11A-11C illustrate microwave ablation system configurations inwhich the microwave thermometry network module is a standalone componentin accordance with embodiments of the present disclosure;

FIGS. 12A-12D illustrate microwave ablation system configurations inwhich the microwave thermometry network module is integrated into anyone of the components of the microwave ablation system in accordancewith embodiments of the present disclosure;

FIG. 13 is a perspective view of a cable incorporating a radiometercontroller in accordance with an embodiment of the present disclosure;

FIG. 14 is a perspective view of a microwave applicator including aradiometer controller in accordance with an embodiment of the presentdisclosure;

FIG. 15 is a perspective view of a microwave cable including aradiometer controller in accordance with an embodiment of the presentdisclosure;

FIGS. 16A-16D illustrate microwave ablation system configurations inwhich the radiometer controller module is integrated into the microwavegenerator of the microwave ablation system in accordance withembodiments of the present disclosure;

FIGS. 17A-17D illustrate microwave ablation system configurations inwhich the radiometer controller module is configured to removablyconnect to the microwave generator of the microwave ablation system inaccordance with embodiments of the present disclosure;

FIG. 18 is a block diagram of a microwave ablation system in accordancewith other embodiments of the present disclosure;

FIG. 19 is a block diagram of a microwave applicator that incorporatesthermocouples for measuring temperatures that are used to control theradiometer in accordance with embodiments of the present disclosure;

FIG. 20 is a graph illustrating the timing of temperature measurementsby the radiometer in accordance with some embodiments of the presentdisclosure;

FIGS. 21A and 21B are timing diagrams illustrating the timing oftemperature measurements by the radiometer in accordance with otherembodiments of the present disclosure;

FIG. 22 is a timing diagram illustrating the timing of temperaturemeasurements by the radiometer in accordance with yet other embodimentsof the present disclosure;

FIG. 23 is a flowchart of a method of operating the microwave ablationsystem according to an embodiment of the present disclosure;

FIG. 24 is a flowchart of a method of controlling the temperature of thetransmission network using radiometer measurements according to anembodiment of the present disclosure; and

FIG. 25 is a flowchart of a method of operating the microwave ablationsystem according to another embodiment of the present disclosure.

DETAILED DESCRIPTION

The present disclosure is generally directed to microwave ablationsystems that incorporate a microwave thermometry network for monitoringthe thermal characteristics of the microwave transmission network andthe physiological environment surrounding a microwave applicator.Microwave radiometry is a technique for measuring electromagnetic energyconsidered as thermal radiation, and can be used to detect and measuremicrowave energy emanating from heat sources.

The microwave ablation systems according to the present disclosurecombine an antenna transmitting energy to ablate tissue (at a set“ablation frequency”) with an antenna receiving thermal noise poweremitted by heated tissue (at a set “radiometric frequency”) that can betranslated into average temperature. If the radiometric frequency ishigh enough (e.g., 3-9 GHz), the temperature will be averaged over asmall enough volume around the antenna (e.g., 1-3 mm), allowing theantenna to be used as a thermocouple.

The microwave ablation systems according to the present disclosure usemicrowave thermometry in combination with the pre-existing transmissionnetwork of a microwave ablation system to enable thermal monitoring oftissue and microwave ablation system components without increasing thesize of a microwave applicator's catheter or its shaft cross section.These systems provide real-time monitoring and feedback of tissuetemperature, which enhances procedural outcomes through real-timeverification of ablation progression, completeness, or lack ofcompleteness. The monitoring of system component temperature allows forthe microwave ablation system to insure adequate cooling is occurringthroughout a procedure thereby preventing potential device failures orpotential patient or user injury.

Embodiments of the microwave ablation systems and components aredescribed with reference to the accompanying drawings. Like referencenumerals may refer to similar or identical elements throughout thedescription of the figures. As shown in the drawings and as used in thisdescription, the term “proximal” refers to that portion of theapparatus, or component of the apparatus, closer to the user and theterm “distal” refers to that portion of the apparatus, or componentthereof, farther from the user.

This description may use the phrases “in an embodiment,” “inembodiments,” “in some embodiments,” or “in other embodiments,” whichmay each refer to one or more of the same or different embodiments inaccordance with the present disclosure.

Electromagnetic energy is generally classified by increasing energy ordecreasing wavelength into radio waves, microwaves, infrared, visiblelight, ultraviolet, X-rays and gamma-rays. As it is used in thisdescription, “microwave” generally refers to electromagnetic waves inthe frequency range of 300 megahertz (MHz) (3×10⁸ cycles/second) to 300gigahertz (GHz) (3×10¹¹ cycles/second). As it is used in thisdescription, “ablation procedure” generally refers to any ablationprocedure, such as, for example, microwave ablation, radiofrequency (RF)ablation, or microwave or RF ablation-assisted resection.

As it is used in this description, “energy applicator” generally refersto any device that can be used to transfer energy from a powergenerating source, such as a microwave or RF electrosurgical generator,to tissue. For the purposes of the present disclosure, the term “energyapplicator” is interchangeable with the term “energy-delivery device”.As it is used in this description, “transmission line” generally refersto any transmission medium that can be used for the propagation ofsignals from one point to another. As it is used in this description,“fluid” generally refers to a liquid, a gas or both.

As it is used in this description, the term “controller” refers to anyelectrical device that employs digital and/or analog components togenerate digital and/or analog signals to control or drive anotherdevice. The term “controller” may refer to a digital signal processor, amicrocontroller, or a computer having a processor, a memory, andinput/output ports for carrying out some of the methods describedherein.

FIG. 1 is a block diagram of a microwave ablation system 100 accordingto embodiments of the present disclosure. The microwave ablation system100 includes a microwave applicator 110, microwave cables 120 and 125, acoupling circuit 130, a microwave generator 140, a filter 135, and aradiometer 160. The microwave generator 140 generates a microwave signaland outputs it to the microwave applicator 110 via the microwave cables120 and 125. The microwave applicator 110 includes at least one antennawhich emits microwave radiation when the microwave signal is applied tothe antenna. The antenna may be disposed in a tumor so that themicrowave radiation emitted from the antenna can ablate the tumor.

The coupling circuit 130 is coupled between the microwave generator 140and the microwave applicator 110 to provide a noise temperature signalor at least a portion of the signals propagating through the microwavecables 120 and 125 to the radiometer 160. The filter 135 isolates anoise temperature signal from the at least a portion of the microwavesignal. Then, the radiometer 160 samples the noise temperature signaland provides it to the controller 150. The controller 150 may convertthe microwave noise temperature signal into a temperature reading bydigitally sampling the microwave noise temperature signal using ananalog-to-digital converter (ADC) and scaling the result. The controller150 may also interface with a display to display the temperature readingas described in more detail below.

The noise temperature measured by the radiometer 160 may be used toenable temperature feedback control. The feedback control may involveopen loop control, e.g., user-based control, or closed loop control,e.g., for an autonomous system, to achieve a desired tissue effect andto improve the overall procedural outcome. The radiometer 160 andcontroller 150 may also be used to monitor the temperature of componentsof the microwave ablation system 100. For example, the radiometer 160and controller 150 may be used to monitor the temperature of themicrowave cables 120 to insure adequate cooling and to avoid failures.

FIG. 2 is a block diagram of a microwave ablation system 200 accordingto some embodiments of the present disclosure. The microwave ablationsystem 200 includes a microwave generator 220 and a microwave applicator210 coupled to the microwave generator 220. The microwave applicator 210includes a microwave antenna 230 and a handle 240 coupled to themicrowave antenna 230 to allow a clinician to manipulate the microwaveantenna 230 during a microwave ablation procedure.

The microwave antenna 230 may be embodied as an inflexible ablationcatheter or a flexible ablation catheter to accommodate a specificsurgical procedure, a specific luminal structure, specific targettissue, a clinician's preference, etc. For example, in one embodiment,it may prove advantageous to have an ablation catheter that is veryflexible for movement through the relatively narrow airways of the lungsof a patient. In some cases, it may prove advantageous to have anablation catheter that is only slightly flexible, e.g., where theablation catheter is needed to pierce or puncture tissue. Still further,to achieve the desired amount of flexibility, it may be desirable toemploy the ablation catheter described in U.S. patent application Ser.No. 13/834,581 entitled “Microwave Energy-Delivery Device and System,”the entire contents of which is incorporated herein by reference. Itshould be understood to those of skill in the art that the microwaveantenna 230 may employ other ablation catheter embodiments, eithersimplified or more complex in structural detail, without departing fromthe scope of the instant disclosure.

To obtain accurate temperature measurements, the radiometer 160 isdisposed as close as possible to the radiating portion of the microwaveantenna 230 to limit unwanted noise from entering the radiometer 160.For example, as shown in FIG. 2, the radiometer 160 and the couplingcircuit 130 are disposed within the handle 240 of the microwaveapplicator 210. The coupling circuit 130 is coupled between microwavefeed transmission line and the antenna element to provide at least aportion of a microwave signal propagating in the antenna element to theradiometer 160. The radiometer 160 is coupled to the coupling circuit130 and outputs a voltage signal V₀ that is proportional to thetemperature of the environment surrounding the antenna 230, e.g., thetissue to be ablated. This voltage signal V₀ is provided to themicrowave generator 220 via communication line 215.

The coupling circuit 130 of FIGS. 1 and 2 may be any microwave couplingnetwork which guides energy into the radiometer 160. FIGS. 3A-3C areblock diagrams of exemplary embodiments of the coupling circuit 130 ofFIGS. 1 and 2. FIG. 3A is a block diagram of a directional coupler 300which couples a portion of the signals propagating in the microwavetransmission line to port 3. The portion of the signals is then providedto the radiometer, which measures a noise temperature signal in theportion of the signals. FIG. 3B is a block diagram of a switch 350 thatswitches between ports 2 and 3. In some embodiments, the switch 350 isnormally switched to port 2 so that the microwave signal is provided tothe microwave antenna and is periodically switched to port 3 at regularintervals so that the radiometer can obtain noise temperaturemeasurements. In other embodiments, the switch 350 may switch to port 3at predetermined times during the microwave ablation procedure, e.g.,near the beginning and near the end of a microwave ablation procedure.The switch 350 may include a solid-state switch, such as a diode switch,or a transfer-type switch, such as a mechanical relay.

As shown in FIG. 3C, the coupling circuit 130 may alternatively includea T-network 375 having a first LC resonant band pass filter 380 forpassing one or more noise temperature frequencies to the radiometer 160and a second LC resonant band pass filter 385 for passing the microwavesignal to the microwave applicator.

FIG. 4A is a circuit block diagram of a radiometer 400, which may beemployed in the microwave ablation systems of FIGS. 1 and 2. Theradiometer 400 includes a low-noise amplifier 402, a local oscillator404, a frequency mixer 406, a band pass filter 408, an intermediatefrequency (IF) amplifier 410, a detector 412, and an integrator 414. Thelow-noise amplifier 402 amplifies a noise temperature signal to obtainan amplified noise temperature signal. The local oscillator 404 producesa sine wave and the frequency mixer 406 mixes the amplified noisetemperature signal with the sine wave to shift the noise temperaturesignal to an intermediate frequency (IF) that is lower than thefrequency of the microwave signal. The intermediate frequency may be afrequency in the range from 100 Hz to 100 kHz, such as 10 kHz.

The band pass filter 408 filters the signal output from the frequencymixer 406 and the IF amplifier 410 amplifies the filtered signal. Thedetector 412 detects the noise temperature signal and the integrator 414integrates the detected noise temperature signal to provide a voltagesignal that is proportional to the temperature of the environmentsurrounding the microwave antenna. To overcome gain fluctuations and toimprove the accuracy of temperature measurements, the radiometer 400 mayuse an integrator having long integration times, e.g., 10 ms to 10 s,and a band pass filter having a narrow bandwidth B, e.g., ±35 MHzcentered around 3.5 GHz.

The voltage signal output from the radiometer 400 may be furtherprocessed to filter the signals propagating through the transmissionnetwork to obtain the noise temperature signal. For example, theradiometer 400 may use time domain and/or frequency domain filteringtechniques to isolate the noise temperature signal, the noisetemperature signal of the tissue, and the noise temperature signal ofthe transmission network.

FIG. 4B is a circuit block diagram of a radiometer 420 in accordancewith another embodiment of the present disclosure. The radiometer 400includes a switch 422 (also referred to as a “Dicke modulator”) thatswitches between the microwave signal input 421 and a resistive load424, which is maintained at a constant temperature T_(C). The resistiveload 424 may be a thermocouple that is disposed in thermal communicationwith the transmission network so as to measure a temperaturerepresentative of the temperature of the transmission network. Theresistive load 424 provides a reference temperature that is used tocancel out the noise temperature of the transmission network in order toisolate the noise temperature of the tissue. The switch may be a singlepole, double throw switch. A reference generator 426 generates a controlsignal that is provided to the switch 422 via a switch driver 428 tocontrol the switching frequency of the switch 422.

The output from the switch 422 is fed to an amplifier 430 whichamplifies a noise temperature signal passing into the microwave signalinput 421 or the reference temperature signal passing into the loadtemperature signal input 424. The amplifier 430 may be a low noiseamplifier so that the amplifier does not introduce noise into the noisetemperature signal. The output from the amplifier 430 is fed to anenvelope detector 432 that detects the amplitude of the noisetemperature signal. The amplitude of the noise temperature signal isamplified by amplifier 434 and provided to a phase detector 436. Thereference generator 426 controls the phase detector 436 so that itoperates synchronously with the switching of the switch 422. The outputfrom the phase detector 436 is then integrated by the integrator 438,which reduces the amplitude of fluctuations in the noise temperaturesignal.

In operation, the reference generator 426 generates a square wave at afrequency higher (e.g., 30 to 1000 Hz) than the frequency at whichreceiver gain variations occur. The switch driver 428 drives the switch422 in accordance with the generated square wave. By doing this, theeffect of the receiver gain variations, e.g., amplifier drift, on thereceived noise temperature is eliminated.

FIG. 5 is a block diagram of a microwave thermometry network module 500used in the microwave ablation system of FIG. 1. The microwavethermometry network module 500 monitors the thermal characteristics ofthe microwave transmission network, e.g., the antenna, as well as thephysiological environment, e.g., tissue, surrounding a microwaveapplicator. The microwave thermometry network module 500 includes aradiometer 510, a filter 520, transmission line connectors 580 a and 580b, a transmission line 575 connected between the transmission lineconnectors 580 a and 580 b, and a coupling network 530 coupled to thetransmission line 575.

The coupling network 530 couples at least a portion of the signalspropagating through the transmission line 575 to the filter 520. Thesesignals include a high power microwave signal 582 and a noisetemperature signal 584. The filter 520 filters the signals provided bythe coupling network 530 to isolate the noise temperature signal 584.For example, the filter 520 may isolate a high frequency noisetemperature signal, e.g., a 4 GHz noise temperature signal, from a lowerfrequency high power microwave signal, e.g., a 2450 MHz microwavesignal. The filter 520 may further filter the noise temperature signalto obtain the noise temperature signal from the tissue and the noisetemperature signal from components of the microwave ablation system,such as the noise temperature signal from the microwave transmissionnetwork. Time and/or frequency domain signal processing techniques canbe used to separate out the high power microwave signal, the microwavenoise temperature from the tissue, and the microwave noise temperaturefrom components of the microwave ablation system. For example, thefilter 520 may employ a fast Fourier transform (FFT) to determine theamplitude of the noise temperature signal.

The filter 520 could be a variety of analog and digital electroniccomponents intended to isolate the microwave signal from noisetemperature signals. For example, the filter 520 may be implementedusing digital circuitry, in which case the filter 520 would include ananalog-to-digital converter (ADC) for converting at least a portion ofthe microwave signal provided by the coupling network 530 into digitalform. The digital circuitry may implemented in a digital signalprocessor or a field-programmable gate array (FPGA). Noise temperaturesignals may be further separated into noise temperatures from each ofthe sources of noise temperature in the microwave ablation system (e.g.,cables, circulators, couplers, filters, connectors, amplifiers, etc) andsources from the tissue. Also, the controller 540 can generate controlsignals, e.g., pulsing control signals, for controlling the microwavegenerator to adjust its output to improve or optimize the radiometermeasurements as described, for example, in more detail below.

The microwave thermometry network module 500 further includes thecontroller 540, a user interface (UI) 550, a display driver 560, adisplay 570, and data bus connectors 515 a and 515 b. The controller 540receives the measured noise temperature data from the radiometer 510 anddetermines temperature information based on the measured noisetemperature data. Under the control of the controller 540, thetemperature information may be directly displayed to the user of thesystem via the display driver 560 and the display 570 to inform the userof the real-time status, e.g., the progress or completion, of a medicalprocedure. The controller 540 may also use the temperature informationas an input to a feedback algorithm designed to optimize the overalltherapeutic effectiveness of the system as well as to insure systemrobustness and patient and user safety.

The real-time procedural monitoring performed by the microwavethermometry network module 500 may directly display a temperature valuevia the display 570 to the user which corresponds to the status of theablation procedure, e.g., ablation completeness or incompleteness. Thesystem robustness monitoring performed by the controller 540 may monitorthe temperature of the microwave transmission network, i.e., the coaxialtransmission lines and antenna, and limit microwave output power basedon predetermined temperature limits placed on the microwave transmissionnetwork.

The user interface (UI) 550 may provide various levels of interfacebetween the thermometry network module 500 and other components of themicrowave ablation system ranging from minimally interfaced to highlyinterfaced. The minimally interfaced thermometry network module 500 maydisplay a temperature value to the user, in which case the interface tothe thermometry network module would include power supply lineconnectors 525 a and 525 b for distributing power to the components ofthe thermometry network module 500 and other components of the microwaveablation system connected to the power supply line connectors 525 a and525 b. The minimally interfaced thermometry network module 500 wouldalso include the coupling network 530 for coupling to the transmissionline 575.

The highly interfaced thermometry network module would be a thermometrynetwork module further including the controller 540 acting as the mastercontroller of the microwave ablation system, in which case the interfaceto the thermometry network module 500 includes data bus connectors 515 aand 515 b through which mixed signal control and monitoring data istransmitted from the controller 540 to other components of the microwaveablation system connected to the thermometry network module 500 via thedata bus connectors 515 a and 515 b. For example, the controller 540 maysend commands to the microwave generator via connector 515 b to varycharacteristics of the microwave signal or stop the generation of themicrowave signal entirely.

The microwave thermometry network module 500 of FIG. 5 may all reside inthe same physical location within the microwave ablation system or thevarious elements of the microwave thermometry network module 500 may belocated at different locations within the microwave ablation system,i.e., a split configuration. FIGS. 6 and 7 illustrate a splitconfiguration of the microwave thermometry network module 500 of FIG. 5.FIG. 6 is a measurement module 600 that includes components of themicrowave thermometry network module 500 associated with the measurementof a noise temperature signal, which is coupled from the microwavetransmission line 675 via the coupling network 530.

The coupling network 530 may be implemented by any known microwavecoupling scheme, such as the directional coupler 300 of FIG. 3A, theswitch 350 of FIG. 3B, the T-network 375 of FIG. 3C, a band pass filter,or a diplexer. The filter 520 constrains the coupled microwave energyentering the radiometer 510 to that which represents the thermalparameter of interest. The filter 520 performs frequency spectrumselection and the radiometer 510 includes a detector, e.g., the detector432 of FIG. 4B, for detecting the noise temperature signal.

The measurement module 600 also includes connectors for interfacing withother components of the microwave ablation system. The measurementmodule 600 includes data bus connectors 615 a and 615 b through which anoise temperature signal may be transmitted to other components of themicrowave ablation system connected to the measure module 600 via thedata bus connectors 615 a and 615 b. The measurement module 600 alsoincludes an input power supply line connector 625 b for receiving powerfrom another component of the microwave ablation system that isconnected to the input power supply line connector 625 b, and an outputpower supply connector 625 a through which power is provided to stillanother component of the microwave ablation system connected to thepower supply line connector 625 a.

The measurement module 600 further includes transmission line connectors680 a and 680 b that are connected to both ends of a transmission line675 of the thermometry network module. The transmission line connectors680 a and 680 b are used for connecting the measurement module 600between components of the microwave ablation system so that the couplingnetwork 530 can obtain a portion of the microwave signal transmitted bythe microwave generator 1000 to the microwave applicator 800. Forexample, as illustrated in FIG. 17A, the measurement module 600 may bedirectly connected between the microwave generator 1000 and themicrowave applicator 800. Alternatively, the measurement module 600 maybe directly connected to the microwave applicator 800, but indirectlyconnected to the microwave generator 1000 by connecting to the microwavecable 900 which, in turn, is connected to the microwave generator 1000.

FIG. 7 illustrates the control module 700 of the split configuration ofthe microwave thermometry network module 500 of FIG. 5. The controlmodule 700 includes elements associated with the “smarts” of themicrowave thermometry network module 500 and the user interface (UI)electronics. The “smarts” include the controller 540, which receivestemperature measurements, e.g., a noise temperature signal in digitalform, from the radiometer 510 via a data bus connector 715 and reacts tothe temperature information by controlling the microwave output toachieve a desired system response. The controller 540 may communicatewith the microwave generator 1000 via the data bus connector 715 in amanner which improves radiometer 510 performance and accuracy. Forexample, the controller 540 may control the microwave generator 1000 topulse the high-power microwave therapeutic energy so that the radiometercan take noise temperature measurements between the pulses, as describedin more detail below.

The controller 540, which is coupled to a user interface 550, may alertthe user to the thermal status, e.g., a displayed temperature value, orhalt certain system functions, e.g., halt the MW power output, whenlimits or values are reached, such as a targeted tissue temperature ormicrowave applicator temperature limit for safety or for devicerobustness when, for example, any component of the microwave ablationsystem is misused. The controller 540 also includes a power supply lineconnector 725 for receiving power from another module of the microwaveablation system. For example, the power supply line connector 725 mayconnect to the power supply line connector 1025 b of the microwavegenerator 1000 of FIG. 10 to receive power from the power distributionunit 1045 of the microwave generator 1000.

In general, the microwave thermometry network modules 500, 600, and 700of FIGS. 5-7, respectively, may be powered by a regulated power supplythat is provided by one of the components of the microwave ablationsystem connected to the network modules. For example, the microwavethermometry network modules 500, 600, and 700 may receive power from thepower supply 1050 and the power regulator 1040 of the microwavegenerator 1000. Alternatively, these microwave thermometry networkmodules 500, 600, and 700 may be powered by their own power supply andpower regulation circuitry, e.g., battery, solar, or mains supply.

FIG. 8 is a block diagram of a microwave applicator 800 which deliversmicrowave therapeutic energy to tissue to treat a disease or undesirablemedical condition associated with the tissue. The microwave applicator800 includes a probe or antenna 810 for delivering microwave energy, anapplicator circuit 820, a user interface 840, a handle or hub 830, inputand output fluid cooling and buffering ports 850, a data bus connector815, a power supply line connector 825, and a transmission lineconnector 880. The antenna 810 receives a microwave signal via thetransmission line connector 880.

The applicator circuit 820 may include a thermocouple buffer, amicrowave activation switch, and/or memory (e.g., an EEPROM) storingdevice identification information. The thermocouple buffer convertsvoltage of a thermocouple (e.g., the thermocouples 2001, 2002, and 2004of FIG. 20) into a buffered voltage representative of the thermocouplevoltage, which is less sensitive to interference. The deviceidentification information can be used by the microwave generator, e.g.,the microwave generator 1000 of FIG. 10, to ensure that only properlyidentified microwave applicators 800 are connected to the microwavegenerator. In addition, the memory may store operating parameters of themicrowave applicator 800 (e.g., time, power, and dosage limits) andinformation regarding the usage of the microwave applicator 800. Usagemonitoring may enable limiting re-use of the microwave applicator 800beyond a single use of the device or a certain number of activations.

The microwave activation switch is connected to a user-selectableactivation button in the user interface 840. When a user selects theactivation button, the microwave activation switch is closed to allow amicrowave signal to propagate to the antenna 810 of the microwaveapplicator 800. The applicator circuit 820 is connected to the data busconnector 815 so that it can communicate with devices of the microwaveablation system that connect to the data bus connector 815. For example,the applicator circuit 820 may provide device identification informationto a microwave generator connected to the data bus connector 815. Theapplicator circuit 820 also receives power via the power supply lineconnector 880.

The input and output cooling and buffering ports 850 connect to a fluidsystem (not shown) that provides cooling fluid to the antenna 810 tocontrol the size and shape of an ablation volume. The cooling fluid mayinclude dielectric materials to control the transfer of power to thetissue. The fluid system may include a fluid reservoir, a fluid pump forpumping cooling fluid through the input and output cooling and bufferingports 850, tubing for carrying the cooling fluid, and sensors (notshown). An example of a fluid system is described in detail in commonlyassigned U.S. patent application Ser. No. 12/566,299, which isincorporated herein by reference.

FIG. 9 is a block diagram of a cable 900 for carrying the high powermicrowave signal to the microwave applicator 800. The cable 900, whichmay be a reusable cable, includes cable circuitry 910, a user interface920 which is connected to the cable circuitry 910, data bus connectors915 a and 915 b, power supply line connectors 925 a and 925 b, andtransmission line connectors 980 a and 980 b. The connectors 915 a, 915b, 925 a, 925 b, 980 a, and 980 b may be configured to connect tocorresponding connectors of any component of the microwave ablationsystem such as the microwave thermometry network module 500, themicrowave applicator 800, the microwave generator 1000.

As described below, the microwave thermometry network module 500 may beintegrated into a reusable cable. Like the applicator circuitry 820 ofFIG. 8, the cable circuitry 910 may support device identification,thermocouple buffering, and/or microwave activation. The cable circuitry910 may also communicate with other components in the microwave ablationsystem via the data bus connectors 915 a and 915 b.

FIG. 10 is a block diagram of a microwave generator 1000 according toembodiments of the present disclosure. The microwave generator 1000includes a microwave signal generator 1010, a microwave module amplifier1020 coupled to the output of the microwave signal generator 1010, atransmission line connector 1082 coupled to the output of the microwavemodule amplifier, and a coaxial cable connector assembly for connectingto another cable, which is coupled to the microwave applicator 800 ofFIG. 8. The microwave signal generator 1010 generates a microwavesignal, which is amplified by the microwave module amplifier 1020 toproduce a high power microwave signal 582. The high power microwavesignal 582 is output from the microwave generator 1000 via thetransmission line connector 1082. As described herein, the transmissionline connector 1082 connects to another component of the microwaveablation system, e.g., the cable 900 of FIG. 9, which carries the highpower microwave signal 582 to a microwave applicator, e.g., themicrowave applicator 800 of FIG. 8.

The microwave generator 1000 further includes a power system forpowering the various components of the microwave ablation system. Thepower system includes a power supply 1050, a power regulator 1040, and apower distribution circuit 1045. The power supply 1050 convertsalternating current (AC) from the mains supply connector 1078, which mayconnect to a standard AC outlet via a mains supply line (not shown), todirect current (DC). The power regulator 1040 converts the DC outputfrom the power supply 1050 into regulated DC of various power levels.

The power regulator 1040 provides low power DC to the microwave signalgenerator 1010, the system controller 1060, and the power distributioncircuit 1045. The power distribution circuit 1045, in turn, providespower to power supply line connectors 1025 a and 1025 b for providingpower to components that connect to the microwave generator 1000. Inparticular, the power distribution circuit 1045 provides low power DC toexternal control and monitoring circuitry, such as the control module700 of FIG. 7, via the power supply line connector 1025 b. The powerdistribution circuit 1045 also provides low power DC to the microwaveapplicator 800 and other components of the microwave ablation systemthat connect directly or indirectly to the power supply line connectors1025 a and 1025 b. The power regulator 1040 also provides high power DCto the microwave module amplifier 1020, which outputs a high powermicrowave signal 582 via the transmission line connector 1082.

The system controller 1060 is connected to the microwave signalgenerator 1010 to control the phase, frequency, and other parameters ofthe microwave signal 582 output from the microwave module amplifier1020. The system controller 1060 is also connected to the data busconnectors 1015 a and 1015 b to enable communications between themicrowave generator 1000 and various components of the microwaveablation system that connect to the microwave generator 1000, includingthe microwave thermometry network module 500 of the present disclosure.In embodiments, the system controller 1060 may receive feedback signalsthrough the data bus connectors 1015 a and 1015 b to control theparameters of the high power microwave signal 582. For example, thecontroller 540 of the microwave thermometry network module 500 of FIG. 5could control the high power microwave signal 582, e.g., by pulsing,halting, or varying the high power microwave signal 582.

The microwave generator 1000 also includes input and output devicesincluding a display 1030 and a display driver 1035. The systemcontroller 1060 controls the display driver 1035 to display informationregarding operation of the microwave ablation system on the display1030. The microwave generator 1000 also includes a footswitch connector1076 for connecting to a footswitch controller. The system controller1060 receives command signals from the footswitch controller forcontrolling the output from the microwave generator 1000.

The microwave generator 1000 also incorporates a temperature probeconnector 1080 for connecting to a remote temperature probe (not shown).As described below, the remote temperature probe may be used to measurethe temperature of the patient to obtain patient temperaturemeasurements for calibrating the temperature measurements of themicrowave thermometry network module 500. The temperature probeconnector 1080 may also accept a T-type thermocouple arrangement. Thecontroller of the microwave thermometry network module 500 couldcondition the radiometer output into a T-type signal. This feature couldbe used to display temperature to the user via a front panel 7-segmentdisplay.

FIGS. 11A-11C and 12A-12D illustrate different example configurations ofthe microwave ablation system using the microwave thermometry networkmodule 500 of FIG. 5. As shown in FIGS. 11A-11C and 12A-12D, thethermometry network module 500 is disposed along the microwavetransmission path between the microwave generator 1000 and the microwaveapplicator 800.

FIGS. 11A-11C illustrate configurations in which the microwavethermometry network module 500 is a standalone component in a microwaveablation system that is divided into three or four separate componentsthat are connectable to each other. In FIG. 11A, the microwavethermometry network module is connectable between the microwaveapplicator and the microwave generator module. The configuration of FIG.11A may be used in a portable microwave ablation system where, forexample, the microwave generator 1000 and the microwave thermometrynetwork module 500 are disposed in a handle of the portable microwaveablation system, the microwave applicator 800 is connectable to thehandle, and the microwave thermometry network module 500 is connectableto the handle so that the microwave thermometry network module 500connects between the microwave applicator 800 and the microwavegenerator 1000.

In FIG. 11B, the microwave thermometry network module is connectable toa distal end of the cable 900 and to the microwave applicator 800. InFIG. 11C, the microwave thermometry network module 500 is connectable tothe proximal end of the cable 900 and to the microwave generator 1000.

FIGS. 12A-12D illustrate configurations in which the microwavethermometry network module 500 is integrated into any one of thecomponents of a microwave ablation system that is divided into two orthree separate components that are connectable to each other. In FIG.12A, the measurement module 600 is also standalone component that isconnectable between the microwave applicator 800 and the microwavegenerator 1000. In FIG. 12A, the microwave thermometry network module500 is integrated into the microwave applicator 800. In FIG. 12B, themicrowave thermometry network module 500 is integrated into themicrowave generator 1000. In FIG. 12C, the microwave thermometry networkmodule 500 is integrated into the connector assembly at the distal endof the cable 900. In FIG. 12D, the microwave thermometry network module500 is integrated into the connector assembly at the proximal end of thecable 900.

FIG. 13 is a perspective view of a standalone microwave thermometrynetwork module 1300 that incorporates the circuitry of the microwavethermometry network module 500 shown in FIG. 5. The microwavethermometry network module 1300 includes a connector 1320 at itsproximal end for connecting directly to the microwave generator 1000, asshown in the configurations of FIGS. 11A and 11C, or for connecting tothe microwave cable 900, as shown in the configuration of FIG. 11B.

The first connector integrates a concentric data bus connector 1324 witha coaxial connector 1322 to enable communications between a thermometrynetwork module 1300 and a microwave generator. The thermometry networkmodule 1300 includes a display 1350 and a user interface having aselector 1330 and a switch 1360. The display 1350 displays thetemperature that is determined, for example, by the controller 540 basedon thermal measurements obtained by the radiometer 510 of thethermometry network module 500 of FIG. 5.

The selector 1330 includes a knob 1335 that allows a user to select atemperature limit at which microwave power is shutoff. The controller540 may send a message to the microwave generator 1000 to shut off whenthe controller 540 determines that the measured temperature exceeds theselected temperature limit. Alternatively, the cable may include aswitch (not shown) that opens when the controller 540 determines thatthe measured temperature exceeds the selected temperature limit todisconnect microwave power from the microwave applicator. The switch1360 allows a user to turn on or shut off power to the microwaveapplicator 800. In some embodiments, the display 1350 is a touch screendisplay and the selector 1330 and/or the switch 1360 are implemented asa “virtual” selector and/or switch in the touch screen display. In otherembodiments, the selector 1330 and/or the switch 1360 are implemented asa physical selector and/or switch.

The microwave thermometry network module 1300 includes another connector1310 at its distal end for connecting directly to the microwaveapplicator 800, as shown in the configurations of FIGS. 11A and 11B, orfor connecting to the microwave cable 900, as shown in the configurationof FIG. 11C. Similar to connector 1320, connector 1310 integrates aconcentric data bus connector 1314 with a coaxial connector 1312 toenable communications between the thermometry network module 1300 andthe microwave applicator 800. The connector 1310 may be configured totwist to lock or unlock connection with a microwave applicator.

FIG. 14 is a perspective view of a microwave applicator 1400 thatincorporates the microwave thermometry network module 500 of FIG. 5 intothe microwave applicator's connector assembly 1405. The connectorassembly 1405 is connected to a probe 1408 having a radiating portion1410. Similar to FIG. 13, the connector assembly 1405 includes a displaythat displays temperature measurements and a user interface that allowsa user to change temperature settings and to shutoff microwave signalsbeing provided to the probe 1408 to cause the radiating portion 1410 toemit microwave radiation.

The connector assembly 1405 includes a connector 1406 similar toconnectors 1310 and 1320 of FIG. 13 that is configured to connectdirectly to the microwave generator 1000, as shown in the configurationof FIG. 12A, or to connect to the microwave generator 1000 via amicrowave cable. Temperature measurement data may be transmitted to themicrowave generator 1000 via the data bus of the connector 1406.

FIG. 15 is a perspective view of a microwave cable assembly 1500including coaxial cable 1501, a connector assembly 1503 attached to theproximal end of the coaxial cable 1501 and a connector assembly 1505attached to the distal end of the coaxial cable 1501. In thisembodiment, the components of the microwave thermometry network module500 of FIG. 5 are incorporated into connector assembly 1505 of themicrowave cable assembly 1500 as shown in the configuration of FIG. 12C.Similar to the connector assembly 1405 of FIG. 14, the connectorassembly 1505 includes a display that displays temperature measurementsand a user interface that allows a user to change temperature settingsand to shutoff microwave signals being carried by the microwave cableassembly 1500.

Alternatively, the microwave thermometry network module 500 may beincorporated into the connector assembly 1503 at the proximal end of themicrowave cable assembly 1500 as shown in the configuration of FIG. 12D.The connector assemblies 1503 and 1505 include connectors 1504 and 1506,respectively, similar to the connectors 1310 and 1320 of FIG. 13. Asshown in the configuration of FIG. 12C, connector 1504 is configured toconnect directly to the microwave generator 1000 and connector 1506 isconfigured to connect directly to the microwave applicator 800. In thisconfiguration, temperature data may be transmitted to the microwavegenerator 1000 via the data bus of connector 1504.

Incorporating the components of the microwave thermometry network module500 into a microwave cable minimizes the number of changes that need tobe made to the microwave applicator 800 and/or the microwave generator1000 to incorporate microwave thermometry according to the presentdisclosure. In some cases, the circuitry of the system controller 1060is simply reconfigured to receive temperature data from the controller540 of the microwave thermometry network module 500.

FIGS. 16A-16D and 17A-17D illustrate different example configurations ofthe microwave ablation system using the split configuration of themicrowave thermometry network module as illustrated by FIGS. 6 and 7. Asshown in 16A-16D and 17A-17D, the measurement module 600 is disposedalong the microwave transmission line between the microwave generator1000 and the microwave applicator 800. The control module 700 may bedisposed anywhere within the ablation system.

FIGS. 16A-16D illustrate configurations in which the control module 700is integrated into the microwave generator 1000 and the microwaveablation system is divided into three separate components that areconnectable to each other. In FIG. 12A, the measurement module 600 isintegrated into the distal end of the cable 900. In FIG. 12B, themeasurement module 600 is integrated into the microwave applicator 800.In FIG. 12C, the measurement module 600 is connectable to the proximalend of the cable 900. In FIG. 12D, the measurement module is astandalone component that is connected between the microwave applicatorand the microwave generator. The configuration of FIG. 12D may be usedin a portable microwave ablation system where, for example, themicrowave generator 1000 and the control module 700 are disposed in ahandle of the portable microwave ablation system, the microwaveapplicator 800 is connectable to the handle, and the measurement module600 is connectable to the handle so that the measurement module 600connects between the microwave applicator 800 and the microwavegenerator 1000.

FIGS. 17A-17D illustrate configurations in which the control module 700is a standalone component that is connectable to the microwave generator1000 and the microwave ablation system is divided into three or fourseparate components that are connectable to each other. In FIG. 17A, themeasurement module 600 is also standalone component that is connectablebetween the microwave applicator 800 and the microwave generator 1000.In configuration 17B, the measurement module 600 is integrated into themicrowave applicator 800. In FIG. 17C, the measurement module 600 isintegrated into the distal end of the cable 900.

In FIG. 17D, the microwave ablation system is divided into threeseparate components in which the measurement module 600 is integratedinto the microwave generator 1000. Like the configuration of FIG. 16D,the configuration of FIG. 17D may be used in a portable microwaveablation system where, for example, the microwave generator 1000 and themeasurement module 600 are disposed in a handle of the portablemicrowave ablation system, the microwave applicator 800 is connectableto the handle so that the microwave applicator 800 connects to themeasurement module 600, and the control module 700 is connectable to thehandle so that the control module 700 connects to the microwavegenerator 1000.

FIG. 18 is a block diagram of a microwave ablation system 1800 inaccordance with other embodiments of the present disclosure. Themicrowave ablation system 1800 is the same as the microwave ablationsystem 100 shown in FIG. 1 except that the microwave ablation system1800 includes filters 1802 and 1804, which are controlled by thecontroller 150. The first filter 1802 may separate the noise temperaturesignal from the high power microwave signal. The second filter 1804 maythen extract the noise temperature of the tissue and the noisetemperature of the transmission network from the noise temperatureoutput from the first filter 1802.

The controller 150 may provide tuning, gating, and other signals tocontrol the manner in which the first filter 1802 and the second filter1804 filter the microwave energy provided by the coupling circuit. Thesecond filter 1804 may be further configured to separate out componentsof the transmission network noise temperature or the tissue noisetemperature. For example, different components of the transmissionnetwork may produce noise temperature signals at different frequencies.The second filter 1804 may employ frequency domain techniques todetermine the noise temperature of each of the components of thetransmission network by analyzing the noise temperature signals atdifferent frequencies. The second filter 1804 may alternatively employboth time domain and frequency domain techniques to isolate noisetemperature signals from intentional sources, such as the microwavegenerator 1000, from other noise temperature sources, such as the cablesand the tissue.

In some situations, the noise temperature from the transmission network,e.g., the microwave applicator and/or the microwave cable, may obscurethe noise temperature of the tissue. To overcome this issue, themicrowave signal output from the microwave generator may be turned offfor an off period and the radiometer may monitor temperature during thisoff period. Additionally, the transmission network may be cooledrapidly, either through ambient cooling or active fluid cooling, toallow for the separation of the transmission network noise temperatureand the tissue noise temperature. Once the transmission network hascooled sufficiently, the radiometer may measure the temperature toobtain the noise temperature of the tissue.

As illustrated by the graph 1900 of FIG. 19, when the microwave energysource is turned off at time t=0, the magnitude of the noise temperature1902 represents a combination of the noise temperatures of thetransmission network and the tissue. As the transmission network iscooled, either through ambient cooling or active fluid cooling, themagnitude of the noise temperature drops rapidly as illustrated by thesteep slope 1904 of the noise temperature curve. Once the transmissionnetwork cools down to a point where the magnitude of the noisetemperature represents the tissue temperature 1906, e.g., at time t=t₁,the radiometer may measure the noise temperature to obtain the noisetemperature of only the tissue. The gradual slope 1908 of thetemperature curve is due to the tissue temperature dropping. Then, themicrowave signal turns back on at time t=t₂ to continue tissuetreatment.

The noise temperature of the transmission network may be obtained byfirst measuring the temperature immediately after the generator turnsoff, e.g., at time t=0 in the graph 1900 of FIG. 19. This temperaturerepresents the combined temperatures of the transmission network and thetissue. Thus, to obtain the temperature of the transmission network, thetissue noise temperature is subtracted from the noise temperaturemeasured immediately after the generator turns off.

The flow of cooling fluid could be shut off at time t=t₂ instead ofturning the microwave signal on, which would result in the noisetemperature curve rising as the cooling fluid temperature rises to thetissue temperature. This rise in cooling fluid temperature wouldroll-off as the cooling fluid temperature equalizes to the tissuetemperature. This roll-off point could further be used to indicatetissue temperature. The microwave signal would then be turned on at timet=t₃ if the desired temperature had not been achieved.

FIG. 20 shows a microwave applicator 2000 having thermocouples fortaking temperature measurements of the transmission network and thecooling fluid in order to determine when the magnitude of thetemperature represents the tissue temperature. The microwave applicator2000 includes a first thermocouple 2001 positioned at the fluid inlet2011 for measuring the temperature of the fluid entering the fluid inlet2011 and a second thermocouple 2002 positioned at the fluid outlet 2012for measuring the temperature of the fluid exiting the fluid outlet2012. The microwave applicator 2000 further includes a thirdthermocouple 2004 positioned at a suitable location along thetransmission network to accurately measure a representative temperatureof the transmission network. For example, the third thermocouple 2004may be positioned near the inner conductor 2008 of a coaxial cableconnector 2006 of the transmission network.

The thermocouples 2001, 2002, and 2004 are used to measure thetemperature of the cooling fluid and the transmission network in orderto determine when the noise temperature measured by the radiometerrepresents the tissue temperature. These tissue measurements may betransmitted to a controller, e.g., the controller 540 of the thermometrynetwork module 500 of FIG. 5, outside of the microwave applicator 2000via the communications interface 2010 so that the controller can controlthe radiometer measurements. Specifically, when the controllerdetermines that the temperature of the transmission network as measuredby thermocouple 2004 is the same as the temperature of the cooling fluidas measured by thermocouples 2001 and 2002, the transmission network nolonger contributes to the noise temperature. The tissue may be the solecontributor to the noise temperature at this point in time. Thus, thecontroller may control the radiometer to measure the noise temperatureat this point in time to obtain the tissue noise temperature.

Alternatively, the controller may control the radiometer to measure thenoise temperature to obtain tissue temperature measurements when thetemperature of the cooling fluid flowing through the inlet (as measuredby thermocouple 2001) is the same as the temperature of the coolingfluid flowing through the outlet (as measured by thermocouple 2002). Asanother alternative, the controller may control the radiometer tomeasure the noise temperature when the slope of the temperature curvesettles to the tissue temperature slope 1908 of FIG. 19 as described inmore detail below.

FIGS. 21A and 21B are timing diagrams illustrating the timing oftemperature measurements by the radiometer in accordance with otherembodiments of the present disclosure. As illustrated in FIG. 21A, themicrowave signal generated by the microwave generator may be apulse-width modulated (PWM) signal 2102 at maximum generator peak powerto provide variable average power. The sum of the off time 2104 and theon time 2106 define the period t of the PWM signal 2102, where 1/t isthe PWM modulation frequency, which may be between 1 kHz and 100 kHz,and the microwave frequency is between 500 MHz and 15 GHz. The averageoutput power P_(average) of the PWM signal 2102 is given by thefollowing equation:

${P_{average} = {\frac{t_{on}}{t_{on} + t_{off}} \times P_{\max}}},$where P_(max) is the maximum peak power.

As shown in FIG. 21B, the radiometer according to the present disclosuremay sample 2108 the noise temperature of the microwave ablation systemduring the off times of the microwave PWM signal. So long as the dutycycle of the PWM signal is less than 100 percent, there are off timesduring which the radiometer can sample the noise temperature. Bysampling the noise temperature during the off times, the noisetemperature signal is isolated from the high power microwave therapyenergy in time.

In other embodiments, the microwave ablation system may additionallyturn off the microwave signal for an extended period of time (e.g., 5 to60 seconds) allowing the system to cool (either actively or passively)and allowing the radiometer to measure a time-varying noise temperaturecurve as described above in FIG. 19. This is illustrated by the timingdiagram of FIG. 22. The controller 150 of FIG. 18 may be configured tocontrol the microwave generator 140 to generate a microwave signal 2202that is a pulse-width modulated (PWM) signal for a first period 2212 andto turn off the PWM signal for a second period 2222. At the same time,the controller 150 or a controller of the microwave generator 140 mayvary the duty cycle of the PWM signal to vary the output power. Also,the controller 150 may control the radiometer 160 to measure noisetemperature at various points 2204 along the microwave signal 2202 toobtain a noise temperature measurement signal 2206.

Specifically, the controller 150 may control the radiometer 160 tomeasure the noise temperature during the PWM off periods 2214 to monitorthe maximum noise temperature of the microwave ablation system. Thenoise temperature measurements 2216 for the PWM off periods 2204 may beprovided as feedback to a controller, e.g., the controller 540 of FIGS.5 and 7, which may control the microwave signal output from themicrowave generator. For example, the noise temperature measurements2216 may be used by the controller 540 to reduce the duty cycle of thePWM signal 2212, to keep the transmission network temperatures withinacceptable limits, to ensure adequate cooling of the microwave ablationsystem, or to prevent misuse. The controller 540 may determine whetherany of the noise temperature measurements 2216 is greater than apredetermined noise temperature value, and may shut off the microwavesignal or reduce the duty cycle of the PWM microwave signal if it isdetermined that any of the noise temperature measurements 2216 isgreater than a predetermined noise temperature value.

Additionally, the radiometer may be configured to take a longercontinuous sample 2224 during the second period 2222 when the microwavesignal is turned off. The resulting noise temperature curve 2226 can beused to separate the various noise temperature contributions, e.g.,separate the transmission network noise temperature from the tissuenoise temperature, by observing the cooling behavior of the transmissionnetwork as described above. By shutting off the microwave PWM signalperiodically, e.g., every 30-60 seconds, a system controller allows thetransmission network and other components of the microwave ablationsystem to cool down and the system controller can avoid reducing the PWMsignal's duty cycle in order to reduce the temperature the transmissionnetwork and other components of the system to a suitable temperaturelevel.

If the periods during which the microwave signal is turned off 2222 area small fraction of the PWM on time 2212, the average power delivered tothe microwave applicator may be maintained high or near the maximumoutput power of the generator amplifier. For example, if the maximumoutput power P_(max) is 115 W and the microwave signal off time is 5seconds every 1 minute with a PWM signal having a 95% duty cycle, thenthe average microwave output power P_(avg) from the generator is:

$P_{avg} = {{{P_{\max}( {I - \frac{5\mspace{14mu}{seconds}}{60\mspace{14mu}{seconds}}} )}(0.95)} \approx {0.87\; P_{\max}} \approx {100\mspace{14mu}{W.}}}$

FIG. 23 is a flowchart of a method 2300 for operating the microwaveablation system according to an embodiment of the present disclosure.After the method 2300 starts in step 2301, a PWM microwave signal isprovided to an antenna via a transmission network in step 2302. The PWMmicrowave signal may be generated by a microwave generator that adjuststhe duty cycle of the PWM microwave signal to obtain a power level thatachieves a desired tissue effect. In step 2304, the noise temperature ismeasured by a radiometer during the off periods of the PWM microwavesignal. In step 2306, it is determined whether a first predeterminedperiod, during which the PWM microwave signal is provided to theantenna, has elapsed. If the first predetermined period has not elapsed,the method 2300 continues to provide a PWM signal in step 2302 andmeasure the noise temperature in step 2304.

If the first predetermined period has elapsed, the PWM microwave signalis turned off in step 2308, which causes the transmission network torapidly cool by a cooling fluid from a fluid cooling system of themicrowave ablation system. In step 2310, the temperature of the coolingfluid and the temperature of the transmission network are measured,e.g., by the thermocouples 2001, 2002, and 2004 of FIG. 20. In step2312, it is determined whether the temperature of the cooling fluid isequal to or substantially equal to the temperature of the transmissionnetwork. If it is determined that the temperature of the cooling fluidis equal to or substantially equal to the temperature of thetransmission network, the flow of cooling fluid is shut off in step2313. The cooling fluid flowing around the radiator or antenna may makeit difficult to measure the tissue noise temperature. Shutting off theflow of cooling fluid allows the tissue to heat the stagnant coolingfluid around the radiator or ablation zone, bringing the cooling fluidup to or near the temperature of the tissue, thus improving the accuracyof the tissue noise temperature measurement. The temperature curve ofthe cooling fluid (e.g., the slope and maximum roll off) after the flowof cooling fluid is shut off may be used to indicate successfulcompletion of tissue treatment.

After shutting off the flow of cooling fluid in step 2313, the noisetemperature is measured by the radiometer and is recorded as the noisetemperature of the tissue, in step 2314. The noise temperature of thetissue may be measured by the radiometer a predetermined amount of timeafter the flow of cooling fluid has been shut off.

In step 2316, the method 2300 waits until the second predeterminedperiod elapses before returning to step 2302 to turn on the PWMmicrowave signal. The second predetermined period may range between 5seconds and 5 minutes. The second predetermined period may be variedthroughout the ablation procedure. For example, a second predeterminedperiod which is relatively short, e.g., 5 seconds, may be used severaltimes during an ablation procedure to monitor the real-time progress oftissue treatment without significantly delaying the procedure time.During the shorter periods, the flow of fluid may be shut off for ashort amount of time or the flow of fluid may not be shut off at all.Then, the second predetermined period may be longer, e.g., 5 minutes,following the ablation procedure to observe the final result of theablation procedure and confirm that the desired result was achieved.During the longer periods, the flow of fluid may be shut off.

FIG. 24 is a flowchart of a method 2400 that may be employed togetherwith the method of 2300 for controlling the temperature of thetransmission network using the noise temperature measurements obtainedby the radiometer during the off periods of the PWM microwave signal.for operating the microwave ablation system according to an embodimentof the present disclosure. As in the method 2300 of FIG. 23, a PWMmicrowave signal having a desired pulse width is provided to antenna viaa transmission network in step 2302.

In step 2304, the noise temperature is measured by the radiometer duringthe off periods of the PWM microwave signal. In step 2402, it isdetermined whether the noise temperature as measured by the radiometeris greater than a predetermined maximum temperature. If so, the dutycycle of the PWM microwave signal is reduced in step 2404 to cause thetemperature of the transmission network to decrease. Alternatively, theflow rate of the cooling fluid may be increased so as to increase thecooling rate of the transmission network. As another alternative, thePWM microwave signal may be turned off for a predetermined period toallow the transmission network to cool.

FIG. 25 is a flowchart of a method of operating the microwave ablationsystem according to another embodiment of the present disclosure. Afterthe method 2500 starts in step 2501, a microwave signal is provided toan antenna via a transmission network in step 2302. In step 2506, it isdetermined whether a first predetermined period, during which themicrowave signal is provided to the antenna, has elapsed. The firstpredetermined period may range between 3 seconds and 1 minute or longerdepending on the procedure type. For example, for large volume ablation,the first predetermined period would be longer whereas for renaldevervation, this period would be longer. If the first predeterminedperiod has not elapsed, the method 2500 continues to provide a microwavesignal to the antenna in step 2502.

If the first predetermined period has elapsed, the microwave signal isturned off in step 2506 and a first noise temperature is measured by theradiometer in step 2508. The first noise temperature may be measuredimmediately after the microwave signal is turned off. In step 2510, thenoise temperature is measured and the slope of a noise temperature curveis calculated. The slope of the noise temperature curve may becalculated based on the current noise temperature and one or moreprevious noise temperature measurements. In step 2512, it is determinedwhether the calculated slope is approximately equal to a predeterminedslope which indicates that the temperature of the transmission networkhas reached a reference temperature and that the measured noisetemperature represents the noise temperature of the tissue. If it isdetermined that the calculated slope is not approximately equal to thepredetermined slope, then the method 2500 returns to step 2510 tomeasure the noise temperature and calculate the slope to the noisetemperature curve.

If it is determined in step 2512 that the calculated slope isapproximately equal to the predetermined slope, a second noisetemperature is measured by the radiometer and is recorded as the noisetemperature of the tissue, in step 2514. In step 2516, the differencebetween the first noise temperature and the second noise temperature isdetermined and recorded as the noise temperature of the transmissionnetwork. Then, in step 2518, the method 2500 waits until the secondpredetermined period elapses before returning to step 2502 to turn onthe microwave signal.

The above-described microwave ablation systems are capable of directingmicrowave energy into tissue, and may be suitable for use in a varietyof procedures and operations. The above-described microwave ablationsystems may be suitable for utilization with hand-assisted, endoscopicand laparoscopic surgical procedures. The above-described microwaveablation systems may also be suitable for utilization in open surgicalapplications.

An aspect of the present disclosure is the use of the microwave ablationsystems described above used for treatment of cancers and other diseasesof the lungs. Location and treatment of lung diseases, particularlycancers due to smoking, is quite challenging due to the tortuous pathsof the lung passages, the extremely small size of peripheral lungpassages, and the movement of the lungs during both diagnosticprocedures and treatments.

An effective method of identifying cancerous or diseased target tissueinvolves the use of a computed tomographic (CT) image. The use of CT asa diagnostic tool has now become routine and CT results are nowfrequently the primary source of information available to thepractitioner regarding the size and location of a lesion. Thisinformation is used by the practitioner in planning an operativeprocedure such as a biopsy, but is only available as “offline”information which must typically be memorized to the best of thepractitioner's ability prior to beginning a procedure. As describedbelow, in addition to inputting target information, integration with theCT data provides improved system functionality, thereby greatlyfacilitating the planning of a pathway to an identified target as wellas providing the ability to navigate through the body to the targetlocation.

The microwave ablation systems according to the present disclosure mayemploy systems and methods for constructing, selecting and presentingpathway(s) to a target location within an anatomical luminal network ina patient. These systems and methods are particularly, but notexclusively, suited for guiding and navigating a probe, e.g., themicrowave applicator 800 of FIG. 8, through the bronchial airways of thelungs. These systems and methods include a preoperative and a operativecomponent. The preoperative component is conducted prior to navigationand can be categorized as pathway planning. The operative component isconducted during navigation and can be categorized as navigation.

The pathway planning phase includes three general steps, which aredescribed in more detail in commonly assigned U.S. application Ser. No.13/834,581 entitled “MICROWAVE ENERGY-DELIVERY DEVICE AND SYSTEM,” andU.S. application Ser. No. 13/838,805 entitled “PATHWAY PLANNING SYSTEMAND METHOD,” the entire contents of each of which are incorporatedherein by reference. The first step involves using a software graphicalinterface for generating and viewing a three-dimensional model of thebronchial airway tree (“BT”). The second step involves using thesoftware graphical interface for selection of a pathway on the BT,either automatically, semi-automatically, or manually, if desired. Thethird step involves an automatic segmentation of the pathway(s) into aset of waypoints along the path that can be visualized on a display. Itis to be understood that the airways are being used herein as an exampleof a branched luminal anatomical network. Hence, the term “BT” is beingused in a general sense to represent any such luminal network and not tobe construed to only refer to a bronchial tree, despite that theinitials “BT” may not apply to other networks.

Having identified a pathway in the BT connecting the trachea in a CTimage with a target, a system is necessary to reach the target with themicrowave applicator 800 in the navigation phase. One such system isdescribed in commonly assigned U.S. application Ser. No. 13/834,581entitled “MICROWAVE ENERGY-DELIVERY DEVICE AND SYSTEM.”

CT data (images) may be employed for the route planning phase. CT datais also used for the navigation phase. CT data is preferable to otherimaging modalities because it has its own system of coordinates.Matching the two systems of coordinates, that of the CT and that of thepatient, is commonly known as registration. Registration is generallyperformed by identifying locations in both the CT and on or inside thebody, and measuring their coordinates in both systems.

Methods of manual and semi-automated registration of CT data and patientdata are described in detail in for example U.S. Pat. No. 7,233,820assigned to Covidien LP and incorporated herein by reference. Whilestill a viable methods of registration, because particularly manualregistration is somewhat time consuming and requires multiple steps,many practitioners rely on the automatic registration techniques thesoftware of the current disclosure enables. However, in some instances,particularly if the CT image data is not of sufficient quality it maystill be necessary or desirable to conduct manual registration.

Automatic registration has become the norm for most procedures becausewhile the manual fiducial point designation of the above referencedregistration techniques is highly effective, the choice of number ofpoints sampled necessarily represents a tradeoff between accuracy andefficiency. Similarly, while the semi-automated technique is a viableoption it requires an image sensor at the distal end of the catheterassembly which adds increased complexity to the system.

Automatic registration techniques are described in detail in commonlyassigned U.S. patent application Ser. No. 12/780,678, which isincorporated herein by reference. Automatic registration between adigital image of a branched structure and a real-time indicatorrepresenting a location of a sensor inside the branched structure isachieved by using a sensor to “paint” a digital picture of the inside ofthe structure. Once enough location data has been collected,registration is achieved. The registration is “automatic” in the sensethat navigation through the branched structure necessarily results inthe collection of additional location data and, as a result,registration is continually refined.

Once the targets have been identified, the pathway planned, thebronchoscope including locatable guide inserted into the patient, andthe virtual bronchoscopy image registered with the image data of thebronchoscope, the system is ready to navigate a location sensor to thetarget within the patient's lungs. A computer provides a displayidentifying the target and depicting the virtual bronchoscopy image.However, appearing in each of the images on the display is the pathwayfrom the current location of the location sensor to the target. This isthe pathway that was established during the pathway planning phasediscussed above. The pathway may be represented, for example, by acolored line. Also appearing in each image is a representation of thedistal tip of the locatable guide and location sensor. By advancing thelocatable guide and following the pathway the medical professional isable to follow the identified pathway to the target. At times, asdiscussed above, the virtual bronchoscopy image may not providesufficient accuracy, particularly at the pleura boundaries of the lungs.In such instances the user can rely on the CT images to provide greaterdetails.

Although the position of the location sensor is measured in real time,the target location is not. The target is generally considered fixedrelative to the patient's body position which is monitored in real timeby sensors. However, navigation accuracy may decrease as a result ofcyclic chest movement resulting from breathing. Preferably, precautionsare taken to reduce the effects of this cyclic movement includingreducing the respiration rate of the patient. In addition this movementmay be accounted for in the software by sampling the position sensorspositions selectively so that measurements are only made at an extremeof a cyclic motion. The extremes of the motion of the patient's chestcan readily be identified by the cyclic displacement of sensors duringthe breathing cycle. It may be preferred to use the maximum exhalationstate for measurements since this state typically remains steady for arelatively larger proportion of the breath cycle than the maximuminhalation state. Alternatively, measurements can be taken continuously,and the cyclic variations eliminated or reduced by additionalprocessing. This processing may include applying a low-frequency filterto the measurements. Alternatively, an average of the measurements overa time period of the cyclic motion may be calculated and used to assistin approximating the location of the target. This is assisted by knowingwhether the CT data was derived with the patient in a fully inhaled orexhaled position, which can be used for comparison and greaterapproximation of positioning.

Once the locatable guide has successfully been navigated to the targetlocation, the locatable guide is preferably removed, leaving a sheath inplace as a guide channel for bringing a tool, e.g., the microwaveapplicator 800, to the target location.

The planning and navigation systems and methods of the presentdisclosure may employ markers. These markers can be used for a varietyof purposes including identifying tumors and lesions for follow-upanalysis and monitoring, to identify locations that biopsy sampling hasbeen undertaken, and to identify the boundaries or the center of a tumoror lesion for application of treatment. Other uses will be understood bythose of skill in the art as falling within the scope of the presentdisclosure. The placement of markers can be particularly useful in thecontext of performing a video assisted thoracoscopic surgery (VATS) lungprocedure, which is described in more detail in commonly assigned U.S.application Ser. No. 13/834,581, the disclosure of which is incorporatedherein by reference.

A variety of techniques for identification of the location of implantedmarkers can be employed including fluoroscopy, ultrasound, and otherimaging modalities. These are particularly useful when the marker isequipped with a radio-opaque portion, formed of, for example, gold. VATSprocedures in particular lend themselves to visual identification,particularly when performing treatment of tissues near the pleuraboundaries of the lungs. Some techniques to improve visualizationinvolve the injection of inks or dyes into the patient to identify thelocation of the marker. These techniques tend to be more of a clinicianbased ad hoc solution to visual identification.

As an initial matter visualizing of markers of any kind, especially in adiscolored and diseased lung tissue, can be very difficult. Further,traditional dyes and solutions tend to be spread too broadly foraccurate identification of the tissue to be identified, particularly ifthe marker is placed more than a few hours before the surgicalprocedure. Typically surgery must be undertaken within 72 hours of dyeinjection. Gold fiducial markers on the other hand are difficult if notimpossible to identify without some imaging modality, and sometimescurrently available fiducial markers tend to migrate over time, or evenas a result of a patient cough.

As described in commonly assigned U.S. application Ser. No. 13/834,581,the disclosure of which is incorporated herein by reference, oneembodiment of the planning and navigation systems and methods isdirected to placement of a marker to promote visual identification ofthe tissue of interest during VATS and so that the tissue can bepercutaneously ablated using the microwave ablation systems describedabove.

Though described herein with respect to a particular planning andnavigation system, other pathway planning and navigation systems may beemployed without departing from the scope of the present disclosure. Forexample, the systems described in commonly assigned U.S. patentapplication Ser. Nos. 13/477,279; 13/477,291; 13/477,374; 13/477,395;13/477,406; and 13/477,417, the entire contents of each of which areincorporated herein by reference, as well as those systems described forexample is U.S. Pat. No. 7,876,942 currently assigned to Activiewes,LTD.

Though described here with respect to treatment of lung tissue,embodiments of the present disclosure are equally applicable for use intreatment of other tissues. For example, it is contemplated that thesystems and methods of the present disclosure may be used to treat livertissue, kidney tissue, pancreatic tissue, gastrointestinal tissue,interstitial masses, and other portions of the body known to those ofskill in the art to be treatable via microwave ablation.

The microwave applicators, which may be embodied as handpieces, cables,and thermometry modules (generally referred to as devices) described inthe present disclosure may include one or more data storage components(e.g., EEPROM, PROM, etc.) capable of storing data therein foridentifying the device. The stored data may include identification dataof the device as well as data related to usage of the device (e.g.,number of activations or time stamps of usage) and data related toreprocessing of the device. The data read from the data storagecomponent may be read by other components of the system, such as themicrowave generator 1000 of FIG. 10, to ensure that the device iscompatible with the other components of the system, is permitted tooperate in a particular geographic location, has not exceeded a definedusage count or usage time, and is reasonably assured of being sterile.

The device may alternatively include a bar code identifying the deviceand a microwave generator or other component of the microwave ablationsystem may include a bar code reader for reading identification datafrom the bar code. The bar code reader may then provide the readidentification data to a computer connected to the bar code reader sothat the computer can track the use of the device.

One method of preventing unintended usage of a device is to limit thenumber of usages before requiring reprocessing of the device. As anexample related to a single use device, following connection of a device(e.g., the microwave applicator 800 of FIG. 8) to a generator (e.g.,microwave generator 1000 of FIG. 10), or following the device's initialuse, a time stamp may be written to a data field of a data storagecomponent. This data field may be continually checked to ensure that toogreat a period of time has not elapsed since that time stamp. Eithersimultaneously with the connection/activation of the device or followingthe expiry of the permitted usage time from the initial time stamp, datamay be written to a separate data field in the data storage component.In the example of a single use device, once the data field has any datawritten to it that can be read by the other components of the system,the other components will refuse to permit the device's use and mayprovide a message to the user that the device must be sent forreprocessing. Other usage schemes may also be used as would beappreciated by one of ordinary skill in the art without departing fromthe scope of the present disclosure.

Reprocessing may be performed in an authorized reprocessing facilitywhere the device may be inspected, worn parts may be replaced, datastored on the data storage components may be read, and the device may besterilized. The data read from the data storage component may be sentback to the original manufacturer for review and analysis. The datastorage component may include a data field identifying the number oftimes the device has been reprocessed. This data field is updated eachtime the device is reprocessed.

The number of times a device may be reprocessed may be limited as well.Accordingly upon reaching the specified limit the device must becompletely destroyed. As part of the reprocessing, the time stampdescribed above from insertion into another component or firstactivation may be overwritten and thus the device upon next insertioninto another component is usable. While described generally herein, withrespect to a limited example, reprocessing may under take a variety ofschemes and a number of data fields on the data storage component may beread, overwritten, or have data written to them to ensure the safety andsterility of the devices.

Although embodiments have been described in detail with reference to theaccompanying drawings for the purpose of illustration and description,it is to be understood that the inventive processes and apparatus arenot to be construed as limited thereby. It will be apparent to those ofordinary skill in the art that various modifications to the foregoingembodiments may be made without departing from the scope of thedisclosure.

What is claimed is:
 1. A microwave ablation system comprising: amicrowave applicator including an antenna configured to delivermicrowave energy to ablate tissue; a microwave generator coupled to themicrowave applicator and configured to generate a microwave signal andtransmit the microwave signal to the antenna via a transmission network;a thermometry circuit coupled between the microwave generator and themicrowave applicator, the thermometry circuit including a radiometerconfigured to measure a noise temperature signal and a coupling networkcoupled to the transmission network and configured to provide a noisetemperature signal propagating in the transmission network to theradiometer; and a controller coupled to the thermometry circuit andconfigured to calculate a temperature value based on the noisetemperature signal, wherein the thermometry circuit further includes: afirst filter configured to isolate the noise temperature signal from themicrowave signal and output the noise temperature signal; and a secondfilter configured to filter the noise temperature signal output from thefirst filter.
 2. The microwave ablation system according to claim 1,wherein the transmission network includes a microwave cable connectedbetween the microwave applicator and the microwave generator, whereinthe thermometry circuit is integrated into the microwave applicator, themicrowave generator, or the microwave cable.
 3. The microwave ablationsystem according to claim 1, wherein the second filter is furtherconfigured to obtain a noise temperature signal from the tissue and anoise temperature signal from a component of the microwave ablationsystem.
 4. The microwave ablation system according to claim 3, whereinthe component of the microwave ablation system is a microwave cableconnected between the microwave applicator and the microwave generator.5. The microwave ablation system according to claim 3, wherein thesecond filter is further configured to determine the noise temperatureof the component of the microwave ablation system by analyzing the noisetemperature signal at different frequencies.
 6. The microwave ablationsystem according to claim 1, wherein the coupling network couples aportion of the signals propagating through the transmission network tothe radiometer.
 7. The microwave ablation system according to claim 6,wherein the coupling network is a directional coaxial coupler.
 8. Themicrowave ablation system according to claim 1, wherein the couplingnetwork is a switch configured to switch from a connection between theantenna and the microwave generator to a connection between the antennaand the radiometer.
 9. The microwave ablation system according to claim1, wherein the coupling network is a T-network having a first band passfilter for passing the noise temperature signal to the radiometer and asecond band pass filter for passing the microwave signal to the antenna.10. The microwave ablation system according to claim 1, wherein theradiometer comprises: a low-noise amplifier configured to amplify thetemperature noise signal; a detector coupled to the output of thelow-noise amplifier and configured to detect the noise temperaturesignal; and an integrator coupled to the output of the detector.
 11. Themicrowave ablation system according to claim 10, wherein the radiometerfurther comprises: a local oscillator; a mixer coupled to the output ofthe low-noise amplifier and the output of the local oscillator, themixer being configured to mix the amplified noise temperature signalwith the output from the local oscillator; an intermediate frequencyband pass filter coupled to the output of the mixer, the intermediatefrequency band pass filter having a predetermined bandwidth; and anintermediate frequency amplifier coupled to the output of theintermediate frequency band pass filter.
 12. The microwave ablationsystem according to claim 11, wherein the predetermined bandwidth iswithin ±35 MHz.
 13. The microwave ablation system according to claim 10,wherein the radiometer further comprises: a resistive load maintained ata constant temperature; and a switch coupled to the input of thelow-noise amplifier and configured to switch the input to the low-noiseamplifier between the antenna and the resistive load.
 14. The microwaveablation system according to claim 13, wherein the resistive load is athermocouple disposed in thermal communication with the transmissionnetwork.
 15. The microwave ablation system according to claim 10,wherein the integrator is configured to integrate over a long periodfrom 10 milliseconds to 10 seconds.
 16. The microwave ablation systemaccording to claim 10, wherein the controller is further configured tocalibrate the radiometer to the temperature of a body whose tissue isbeing treated by the microwave applicator.
 17. The microwave ablationsystem according to claim 1, wherein the controller is furtherconfigured to control the microwave generator based on the temperaturevalue.
 18. A microwave ablation device comprising: an antenna configuredto deliver microwave energy to ablate tissue; and a handle assemblyattached to the antenna, the handle assembly including a thermometrycircuit coupled to the antenna via a transmission network, thethermometry circuit including: a radiometer configured to measure anoise temperature signal; a coupling network coupled to the transmissionnetwork and configured to provide a noise temperature signal propagatingin the transmission network to the radiometer; and a controller coupledto the thermometry circuit and configured to calculate a temperaturevalue based on the noise temperature signal, wherein the thermometrycircuit further includes: a first filter configured to isolate the noisetemperature signal from a microwave signal propagating in thetransmission network and output the noise temperature signal; and asecond filter configured to filter the noise temperature signal outputfrom the first filter.
 19. The microwave ablation device according toclaim 18, wherein second filter is further configured to filter theoutput from the first filter to obtain a noise temperature signal fromthe tissue and a noise temperature signal from the transmission network.20. The microwave ablation device according to claim 18, wherein thesecond filter is further configured to determine the noise temperatureof a component of the microwave ablation device by analyzing the noisetemperature signal at different frequencies.